Ointments for the treatment of streptoderma in adults. How to choose a suitable ointment for the treatment of streptoderma? What is the disease

Streptoderma is a contagious skin infection of a bacterial nature, which is why its second name sounds like. It is transmitted from person to person through contact or use of common household objects. Most often it affects children and occurs predominantly in boys, although due to its extremely high contagiousness it can be transmitted to representatives of any gender and any age category. Currently, there are ointments for streptoderma that quite successfully and effectively fight the disease. We will tell you more about such drugs in this article.

For the development of the disease, several conditions are necessary: ​​the presence of a pathogen (streptococcus), decreased immunity and damaged skin through which pathogenic bacteria enter the body. As a result of infection, the skin becomes covered with a variety of purulent rashes and red spots, the surface of which is covered with dry, flaky scales. The disease can occur in both acute and chronic forms.

In any case, the disease requires timely treatment, since the main danger of streptoderma is that the infection can affect internal organs (heart, kidneys) and lead to other serious complications.

The basis of therapy is antibacterial and antiseptic drugs designed to destroy pathogens and prevent further spread of infection. For external treatment of rashes, local remedies (ointments, creams, solutions, aerosols) are widely used.

Treatment of streptoderma with ointments is based on the use of drugs containing antibacterial or hormonal components. For mild forms of the disease, along with antiseptic solutions, treatment of rashes with zinc ointment is used. This drug has a pronounced disinfectant effect. In addition, thanks to its oily base, it softens the skin and eliminates flaking.

At the final stage of treatment, external agents based on sulfur, tar, naphthalan and other natural ingredients are used, which help eliminate residual inflammation and accelerate skin healing. Let us dwell in more detail on external preparations for the treatment of streptoderma and talk about which ointments best cope with the symptoms of the disease.

Antibacterial ointments for streptoderma

Treatment of streptoderma in children and adults is based on a comprehensive approach and involves the use of local drugs to treat rashes and systemic medications for oral administration. Ointment for streptoderma in children is selected individually by the attending physician, taking into account the clinical picture of the disease, the severity of symptoms and possible contraindications. We list the main antibacterial ointments used for the treatment of streptoderma:

  • . A drug with a pronounced antibacterial effect, exhibits a bacteriostatic effect against most pathogenic microorganisms. The antibiotic gentamicin, which forms the basis of the ointment, weakly penetrates the skin, therefore does not have a negative systemic effect on the body and has practically no contraindications, except in cases of individual intolerance. The ointment is applied to the lesions 2-3 times a day, while it is not recommended to treat large areas of skin with the drug for a long time, as the risk of resorption increases, which is dangerous for patients with renal failure. The cost of the drug in the pharmacy chain is about 30 rubles.
  • Tetracycline ointment. An antibiotic that inhibits bacterial growth at the protein level. To treat a pustular infection on the skin, it is recommended to use compresses. To do this, apply a thick layer of ointment to a gauze pad and apply it to the affected area of ​​the skin for several hours. The procedure should be done daily, the duration of treatment is determined by the doctor depending on the severity of the infection. The cost of tetracycline ointment is about 50 rubles.
  • Levomekol (ointment)– a combined drug that effectively destroys bacteria and eliminates inflammation on the skin. Contains the antibiotic chloramphenicol and methyluracil, which provides a restorative and regenerative effect. The drug quickly copes with pustular infection and destroys pathogenic microflora. The ointment is used to treat rashes several times a day, according to the instructions. The average price for the drug in the pharmacy chain is 120-150 rubles.
  • Baneocin– a combined antimicrobial agent based on two antibiotics, which mutually complement and enhance each other’s therapeutic properties. It has a prolonged effect and exhibits high activity against a wide range of pathogenic bacteria. It has good tissue tolerance; when applied to the skin, it is not absorbed and creates high concentrations of active substances on the surface, which allows you to quickly cope with the infection. The ointment is applied directly to the skin or under a bandage up to 3 times a day. The drug is quite expensive, the cost of the ointment starts from 350 rubles.
  • . A drug with an antimicrobial effect based on disruption of protein synthesis of pathogenic microflora. There is practically no addiction to the ointment; it can be used both for application directly to the skin and in the form of compresses. Treatment is carried out 2-3 times a day. Syntomycin ointment has a number of contraindications. This is the period of pregnancy and lactation, individual intolerance, fungal skin infections, diseases of the hematopoietic system. Side effects include irritation and dryness of the skin at the site of application, and allergic reactions. Therefore, this drug is more often used as an ointment for streptoderma in adults. . The average price for the drug is 25-30 rubles.
  • Gentaxan (ointment). A complex antimicrobial agent with a long-lasting therapeutic effect. The main component is the antibiotic gentamicin; auxiliary components include zinc, tryptophan, and organic sorbent. Side effects may include itching and urticaria-type rashes. The cost of the drug is from 210 rubles.
  • Bactroban (ointment). An effective broad-spectrum antibacterial agent. It has practically no contraindications (except for individual intolerance) and can be used to treat young children and pregnant women. Allergic reactions or discomfort at the site of application of the drug occur in very rare cases. The active substance of the ointment is the antibiotic mupirocin. The drug not only prevents the proliferation of pathogenic microorganisms, but also has a direct bactericidal effect. This remedy is very often used as a single drug for streptoderma, since its use allows you to quickly achieve a positive result. The ointment is applied to the affected area with a cotton swab, evenly distributing it over the skin in a thin layer. After treatment, the affected area is covered with a bandage. The drug is expensive, its price in the pharmacy chain ranges from 450 to 600 rubles.
  • Another effective ointment with an antibiotic for streptoderma. This is a combined product containing several active substances with antimicrobial, regenerative and immunomodulatory effects. The ointment copes well with inflammatory processes on the skin and speeds up recovery. The drug is applied to the lesions 2-3 times a day directly on the skin or under a bandage. The ointment is completely safe, but in rare cases it can cause allergic reactions (itching, burning, rashes) that develop as a result of individual intolerance to its components. Pyolysin is a very expensive drug; the price per bottle (100g) exceeds 2000 rubles.
  • The basis of the drug is a bacteriostatic antibiotic from the macrolide group - erythromycin. The mechanism of its action is aimed at destroying peptide bonds in amino acid molecules, as a result of which the production of the most important substances on the basis of which the vital activity of pathogenic microorganisms is built stops. The ointment is used to eliminate pustular rashes due to streptoderma and other inflammatory and infectious lesions of the skin. The drug is contraindicated for use in patients with liver diseases and with individual intolerance. During treatment with ointment, undesirable side reactions may occur: irritation, dryness and redness of the skin. With prolonged use, microorganisms may develop an addiction to this antibiotic.

Treatment of streptoderma with ointment involves the initial treatment of pustular rashes with antiseptic drugs: hydrogen peroxide, brilliant green, chlorhexidine, boric acid solution or salicylic alcohol. Only after the lesions have been treated and dried with disinfectants, antibacterial ointments are applied to the skin.

The antibiotics included in their composition effectively suppress the proliferation of the pathogen and destroy streptococcal infection. Ointments can be applied directly to the skin, especially when treating open areas (for example on the face), or used under bandages. The optimal dosage and treatment regimen will be selected by a dermatologist.

In any case, the course of treatment with antibacterial ointments should not be too long; it is usually limited to 7-10 days. With prolonged use of ointments containing antibiotics, the development of undesirable complications and allergic reactions is possible, so strictly follow the doctor’s recommendations and do not exceed the prescribed period of therapy.

Hormonal ointments for streptoderma

Preparations containing hormones are used in especially severe cases, with extensive skin lesions. They are prescribed by a specialist and such drugs are used in a short course and strictly according to indications. Long-term use of hormonal ointments threatens unpleasant complications, causes a decrease in local immunity, disrupts the protective functions of the skin and makes it especially vulnerable to any infections.

For treatment, they try not to use such drugs; in adults, they use combination drugs containing a steroid hormone, antibiotic or antifungal component.

In addition to the main course of treatment, when the inflammatory process subsides, the doctor may prescribe ointments that promote rapid healing and regeneration of the skin. These are drugs containing anti-inflammatory and antiseptic components (sulfur, tar, naftalan oil). In any case, a specialist should select medications and the optimal treatment regimen; you should not self-medicate. If alarming symptoms appear (inflammation, pustular rashes on the skin), you should consult a doctor as soon as possible.

Before you start choosing an ointment to treat this disease, you need to understand its symptoms and causes. The main factors influencing the occurrence of streptoderma are various disturbances in the functioning of the immune system, contact with a sick person, and the entry of bacteria into microscopic cracks in the skin.

The disease is accompanied by the following symptoms:
- 7 days after infection, the patient begins to develop pinkish spots on the face, and in some cases on the limbs;
- formation of characteristic scales on the spots, causing slight itching and a feeling of dry skin;
- enlarged lymph nodes and increased body temperature.

Ointments that help with streptoderma

The use of special antibacterial ointments prevents further spread of infection and significantly activates the body's immune system. Medicines for humans must contain active substances to which streptococcus is sensitive.

“Zinc ointment” has long been used by specialists to combat streptococci that are sensitive to the main component of the drug. This ointment helps soften the skin and, due to its oily base, has a long-lasting effect.

"Baneocin" is a combined antimicrobial ointment containing simultaneously two antibiotics that enhance each other's effect when interacting. Streptococci and staphylococci are very sensitive to the main active ingredient (bacitracin) contained in the ointment, which ensures the high effectiveness of the drug.

“Synthomycin ointment” destroys both gram-positive and gram-negative bacteria. The basis of the product is syntomycin - the active ingredient of the ointment, belonging to the group of chloramphenicol. This antibiotic is an analogue of Vishnevsky ointment, only it does not have a pungent odor or rich color.

Another very effective remedy is Pyolysin. It has not only excellent antibacterial, anti-inflammatory, but also immunostimulating effects on the skin. The ointment contains several active substances that inhibit the growth of bacteria and create an unfavorable environment for their existence.

Before using any product, you must consult a specialist to avoid possible side effects.

Streptoderma is an infection of the upper layers of the skin of the body, the appearance of which is provoked by streptococci. Children are more often affected by this disease, boys are especially susceptible to it. Externally, the pathology manifests itself in the form of round rashes.

There are cases when streptoderma leads to the fact that they even peel off and hurt. In the absence of any treatment, the disease will last at least 2 weeks. Using the right medications will eliminate the problem in just a couple of days. Let's consider which ointments are used for therapy against streptoderma.

Ointment for streptoderma in children and adults: varieties

A quality product that kills microbes, relieves inflammation and accelerates the healing of affected areas of the epithelium. The product is applied several times a day. Contraindications: intolerance, pregnancy and lactation.

  • Tetracycline ointment. A product with a broad-spectrum antibiotic against bacteria. The fight occurs at the protein level. The active substance is tetracycline. Apply the drug to the problematic epithelium a couple of times a day or apply a bandage for 24 hours. The course of treatment is 2 weeks. Contraindications: intolerance, liver dysfunction, fungal infection, low white blood cell count, hypersensitivity, pregnancy, patient age under 8 years;
  • Gentakan. A long-acting antimicrobial drug for streptoderma, which is used only for external use. The composition contains aminoglycoside sulfate, zinc and tryptophan, silicon and polymethylsiloxane. The product is used throughout the entire period of wound therapy until complete recovery. Immediately after the injury, the bandage is changed 2 times a day.

After the inflammatory process has subsided, it is recommended to change the bandage once every 2 days. After applying the composition, be sure to apply a sterile bandage for several hours until the drug is completely absorbed. Contraindications: hypersensitivity to substances that are part of the drug;

  • Bactroban. A broad-spectrum antibiotic that prevents the spread of bacteria by blocking their reproduction at the cellular level. The composition contains the active ingredient – ​​mupirocin. Excipient – ​​macrogol. The ointment is applied to the affected skin using a cotton swab, and a sterile bandage must be applied. These dressings are changed 3 times a day.

Streptoderma leads to a duration of therapy of up to 10 days. If there are no results after 5 days of treatment, it is better to look for another method of therapy. Contraindications: hypersensitivity to components and damage to large areas;

  • Fusiderm ointment. A topical antimicrobial drug that is used only for external use. The composition contains the active component, fusidic acid, and additional substances: white wax, white petroleum jelly, alcohol and mineral oil. Streptoderma is treated by applying a thin layer of the product to diseased areas of the body a couple of times a day. Leave for 10 hours.

When necrotic masses are present on the surface of the wound, they must be removed before applying the cream. The course of therapy is 7 days. Contraindications: hypersensitivity, skin infections, pregnancy and lactation, patient age under 1 month;

Streptococcus is a genus of facultative anaerobic bacteria that can live in both the presence and absence of oxygen. According to the classification, streptococci are divided into five main serogroups (A, B, C, D, G), among which the main causative agent of streptococcus is group A β-hemolytic streptococcus.

Streptoderma is characterized by the appearance of conflicts (blister, blister) on areas of the skin, followed by the formation of a crust. This disease is most often observed in children (under seven years of age) due to a poorly developed immune system.
The incubation period for streptoderma is seven to ten days.

Interesting facts about pathology

  • Streptococcus bacteria are the causative agents of such common diseases as bronchitis, sore throat, pneumonia, meningitis, scarlet fever and others.
  • Approximately forty percent of all skin diseases are caused by streptococcus bacteria.
  • According to statistics, every fiftieth child suffers from streptoderma.
  • Of all the dermatological diseases that affect children, streptoderma ranks first (about 60%).
  • Most cases of streptoderma infection are observed in southern regions with tropical and subtropical climates. The incidence rate in these places exceeds 20%.

Structure of the skin and skin glands

Skin injuries
The skin reliably protects the human body from the penetration of pathogenic microorganisms. However, even a minor injury to the epithelium (scratch, wound, bite, etc.) is an entrance gate for various types of infection to enter.

Hormonal changes
Hormonal levels play a big role in human health, regulating metabolism and influencing the growth and development of the body. Hormones also have a major impact on the appearance and quality of the skin.

Due to altered hormonal levels, the following manifestations may be observed on the skin:

  • dryness, redness, peeling and increased sensitivity of the epithelium (with hyperfunction or hypofunction of the thyroid gland);
  • pallor, dilation of capillaries (manifested on the skin in the form of a vascular network), development of infections with long-term non-healing wounds (if the functioning of the pancreas is disrupted);
  • laxity of the skin, increased production of sebum (if the ovaries or testicles malfunction), etc.

Changes in skin pH (acid-base balance)
The skin glands secrete substances onto the surface of the epithelium that, when combined with exfoliated skin cells, create a protective lipid layer (skin pH). Normally, the pH level ranges from 5.2 units to 5.7 units, which provides reliable protection against the penetration of infectious agents, and also in case of mechanical or chemical damage provides ideal conditions for rapid regeneration (restoration) of the epithelium.

However, a sharp change in it can lead to disruption of the skin microflora, which significantly increases the risk of developing an infectious process. Conducted studies have shown that streptococcus actively multiplies when an alkaline environment predominates on the skin with a change in pH level from 6 to 7.5 units.

Immunity status

Immunity protects the human body from pathogenic pathogens, so its decrease can lead to the development of many diseases, including streptoderma.

The following factors may contribute to decreased immunity:

  • Chronic diseases of the gastrointestinal tract (for example, chronic gastritis, duodenitis), endocrine diseases (for example, hyperthyroidism, hypothyroidism, diabetes mellitus, adrenal insufficiency), etc.
  • Poor nutrition. The quality and quantity of incoming products directly affect the functioning of organs and the body’s defenses. For example, excessive consumption of sweet, salty or fatty foods can lead to the development of problems associated with the stomach, heart, kidneys and skin.
  • Circulatory disorders, in particular microcirculation, for example venous thrombosis (thrombosis of the portal or hepatic veins), hyperemia (the causes of hyperemia are low atmospheric pressure, hard work of the heart, as well as mechanical influences).
  • Lack of vitamins and microelements Vitamins and microelements affect human immunity. For example, vitamins A, E and C enhance the effects of T-lymphocytes, increase their content in the blood, and also strengthen the immune system.
These reasons may be aggravating factors in the development of streptoderma.

In what areas does streptoderma most often develop?


Streptoderma can develop in the following areas:
  • facial area;
  • upper and lower limbs;
  • groin area;
  • axillary area;
  • behind-the-ear folds;
  • intergluteal fold;
  • feet and hands;
  • inframammary fold.


The localization of streptoderma may depend on the form of the disease.

The following forms of streptoderma are distinguished:

  • streptococcal impetigo (develops most often in the face, torso, as well as on the lower and upper extremities);
  • bullous impetigo (manifests most often on the lower legs, hands and feet);
  • streptococcal diaper rash (affects the groin area, axillary area, behind-the-ear folds, intergluteal folds);
  • streptococcal infection (this type of disease is localized in the corners of the mouth);
  • streptococcal ecthyma (this form of streptoderma usually affects the buttocks, as well as the upper and lower extremities);
  • tourniol (formed in the area of ​​the nail plates).
The most common place for this disease to occur is the face.
As a rule, streptoderma on the face is localized under the nose and in the corners of the mouth in the form of purulent blisters. Over time, after the conflicts are opened, yellow crusts form in their place. Often, excessive salivation (as a result of teething in babies) and nasal discharge contributes to the proliferation of pathogenic microorganisms. One of the predisposing factors for the occurrence of streptoderma on the face is delicate skin, as well as a lack of vitamins, in particular riboflavin (vitamin B2).

The following factors contribute to the spread of streptoderma throughout the body:

  • scratching affected skin areas;
  • getting moisture on the affected areas of the skin (bathing).
The appearance of streptoderma in folds (axillary, behind-the-ear, inguinal and others) is promoted by excessive sweating and increased production of sebum. Typically, streptoderma in these places develops in people who are prone to obesity, as well as those suffering from diabetes.

Symptoms of streptoderma

The incubation period (the period from the moment of infection until the appearance of the first symptoms) of streptoderma is usually seven days.

In most cases, the first signs of the disease appear as:

  • scaly, rounded redness;
  • conflicts (bubbles), the sizes of which vary from three millimeters to one to two centimeters;
  • dry skin;
  • enlarged lymph nodes;
  • pain and swelling of the affected skin area;
  • skin itching and increased local temperature.
Also, the following systemic manifestations of the infectious process may be symptoms of streptoderma:
  • general malaise;
  • increased temperature (up to 38 degrees);
  • muscle and joint pain;
  • headache and others.
However, it should be noted that the symptoms of streptoderma depend on the form and type of the disease.
Form of streptoderma Type of streptoderma Symptoms

Surface form

streptococcal impetigo Initially, redness appears at the affected area, and then a small bubble forms, which quickly grows and reaches one to two centimeters. Over time, the phlyctene bursts and, when dried, forms a yellowish crust.

bullous impetigo This type of streptoderma manifests itself in the form of a blistering rash localized in most cases on the hands, feet or lower legs. The blisters grow slowly, and inside they are filled with a cloudy liquid of a serous-purulent nature. After which the bubble bursts, leaving open erosion in its place.

streptococcal infection There is noticeable redness in the corner of the mouth, conflicts form, and after disappearing, cracks appear at the site of the lesion.

tourniol (nail fold streptoderma) This type of disease is characterized by damage to the skin around the nail plate. Streptoderma of the nail folds manifests itself in the form of dense blisters, which, when bursting, form a horseshoe-shaped erosion from which pus can be released.
streptococcal diaper rash In the area of ​​skin folds, the formation of small conflicts is observed, which are combined with each other. After the blisters disappear, the surface of the skin becomes bright pink.

Deep form

streptococcal ecthyma With this type of streptoderma, the deeper layers of the skin (germ layer) are affected. Externally, this manifests itself in the form of dense blisters filled with serous-purulent fluid, as well as in the form of ulcers covered with a dense crust. After the crust falls off, superficial erosions may remain on the skin; after healing, noticeable scars may form on the affected area.

Diagnosis of streptoderma

Streptoderma is a disease that, in the absence of timely detection and treatment, can lead to serious complications (rheumatism, glomerulonephritis, etc.). Therefore, if it is detected, as well as if you suspect the presence of this disease, it is recommended to seek help from your family doctor, pediatrician or dermatologist (in severe forms of the disease) as soon as possible.
Diagnostic method Description of the procedure Photo
History taking The patient is interviewed to identify the necessary information for making a preliminary diagnosis. During the interview, the doctor is usually interested in the patient’s complaints, as well as certain information about his life (presence of bad habits, previous diseases, social conditions, etc.).
Inspection Using a visual examination and palpation method, the doctor determines the anatomical and physiological characteristics of the skin, as well as the location and appearance of lesions (phlyctenae, crusty wounds, redness, etc.).
Bacteriological research This research method allows you to identify the causative agent of the disease and determine its sensitivity to antibiotics. Pus discharged from the wound is used as diagnostic material. Then a bacteriological culture of the scraping is performed. Contraindications to bacteriological examination are impaired blood supply and immunodeficiency of the patient.
Additional tests The following additional tests may be needed:
  • blood test for thyroid hormones;
  • blood test for RV (Wassermann reaction) - a method for diagnosing syphilis;
  • blood test for HIV (human immunodeficiency virus);
  • stool analysis for worm eggs.
In the presence of streptoderma, the results of blood tests show an accelerated ESR (erythrocyte sedimentation rate), C-reactive protein, as well as leukocytosis with a shift in the leukocyte formula towards neutrophilia.

Treatment of streptoderma


Currently, thanks to the numerous antibacterial agents, the effectiveness of the treatment of streptoderma has increased.

But at the same time, the speed of recovery may depend on the following factors:

  • the age of the patient (in a previously healthy young person, the recovery rate is much faster than in an elderly person);
  • severity of disease manifestations;
  • characteristics of the body (degree of immunity, presence of contraindications, etc.);
  • presence of concomitant diseases.


To increase the effectiveness of streptoderma treatment, the following hygiene rules must be observed:
  • during the treatment period, the patient should stay at home until complete recovery in order to prevent infection of other people, since this disease is transmitted through household means, through things, as well as through direct contact with a person suffering from streptoderma;
  • Until the end of treatment, joint contact with common household items (dishes, towels, bed linen, toys, etc.) should be avoided;
  • During treatment, you should avoid taking baths and showers, as moisture promotes the spread of infection, so during this period it is recommended to limit yourself to hygiene procedures by wet wiping healthy skin;
  • a patient with streptoderma is recommended to change bed linen every two to three days (linen should be washed at high temperatures and ironed after drying);
  • It is advisable to use underwear and clothing made from natural fabrics, since synthetic ones promote sweating (underwear must be changed daily).

Antiseptic drugs

For local treatment, a wide range of antiseptic drugs are used, which, when in direct contact with the infectious focus of the affected skin, inhibit the development of microorganisms.

For streptoderma, these products must be applied directly to the affected area of ​​the skin, as well as around it in order to prevent the spread of infection. If there are phlyctenes on the surface of the skin, they can be carefully pierced with a needle (pre-disinfected), and then the ulcer can be treated with an antiseptic.

If, after the conflicts have disappeared, dense crusts have formed on the skin, they can be removed using salicylic petroleum jelly, after which the wound bed should be treated with an antiseptic solution.

The following antiseptic drugs are used for local treatment:

  • Brilliant green 2% (green);
  • Methylene blue 2%;
  • Potassium permanganate;
  • Hydrogen peroxide 1%;
  • Salicylic alcohol 2%;
  • Fukortsin.
These antiseptic preparations should be applied to the affected areas of the skin using a cotton swab or swab two to four times a day. After 20 minutes after the product has dried, you can apply ointment or a compress to the skin.

In most cases, treatment of streptoderma takes from seven to ten days, however, with a deeper form of the disease, antiseptic drugs must be used until the skin is completely epithelialized.

Note. After applying the antiseptic, pain and burning may be felt for a short time.

Antibiotics

Antibiotics have a destructive effect on bacteria and also prevent their proliferation. To select the optimal drug, before starting treatment it is necessary to do a bacteriological test to determine the sensitivity of the microorganism to the antibiotic.

For streptoderma the following are prescribed:

  • local drugs;
  • systemic treatment.

Local preparations

For the superficial form of streptoderma, it is recommended to use ointments that contain an antibiotic.
These drugs reduce inflammation and also inhibit the activity of microbes.
  • Gentamicin;
  • Erythromycin;
  • Triderm;
  • Retapamulin;
  • Bactroban;
  • Baneocin et al.
Ointments should be applied to the damaged skin surface in a thin layer, two to three times a day. The duration of treatment depends on the extent of the lesions, their size, and location.

Systemic treatment

In severe cases, as well as with widespread streptoderma, the patient may be prescribed drugs for oral administration (also intramuscularly or intravenously). Since streptococcus is most sensitive to penicillins, in the treatment of streptoderma, penicillin antibiotics are prescribed in most cases. However, in case of an allergic reaction, antibiotics of the macrolide group or other groups can also be prescribed.

For streptoderma, the patient may be prescribed the following medications.

Name of the drug Dose of the drug for adults Dose of the drug for children A course of treatment
Clarithromycin 250 mg twice a day up to 12 years of age, another form of the drug is used; 5 – 14 days
Amoxicillin 500 mg three times a day for children under two years of age 20 mg per kilogram of body weight;
from two to five years, 125 mg;
from five to ten years, 250 mg three times a day;
5 – 12 days
Ciprofloxacin 250 mg twice a day from 5 to 17 years, 20 mg per kilogram of body weight; 10 – 14 days
Erythromycin 250 mg four times a day up to 14 years of age, 20–40 mg per kilogram of body weight should be divided into three doses; 10 days
Flemoxin Solutab 500 mg twice a day 30 – 60 mg per kilogram of body weight should be divided into two to three doses; 10 days
Augmentin 250 mg three times a day in the form of syrup: from nine months to two years 2.5 ml;
from two to seven years 5 ml;
from seven to twelve years 10 ml three times a day.
5 – 14 days

Strengthening the immune system

Since streptoderma occurs in most cases in people with weakened immune systems, treatment should also be aimed at strengthening the body’s defenses:
  • During treatment, it is recommended to avoid eating flour dishes, spicy and fatty foods, as well as sweets, as they provoke the spread of streptococcus;
  • you should start taking vitamins (vitamins B, A, E, C, P);
  • try to avoid overwork and stress.
Also, for prolonged streptoderma, immunomodulatory drugs can be prescribed:
  • Pyrogenal. This drug should be administered intramuscularly once a day, every other day. The optimal dose of the drug is determined by the attending physician. The course of treatment can range from ten to fifteen injections. The drug is also available in the form of suppositories, which should be administered rectally daily. For streptoderma, it is necessary to use suppositories of 50 mcg or 100 mcg for five to ten days.
  • Neovir. This drug is administered intramuscularly once every two days. The dose of the drug is 250 mg, that is, the contents of one ampoule. The course of treatment consists of five to seven injections.
  • Levamisole. This drug should be administered intramuscularly daily at 150 mg for three days, then take a break for five days and, if necessary, the course can be repeated.
These drugs have a desensitizing and anti-inflammatory effect, and also increase the body's resistance.

Autohemotherapy is also possible as an immunostimulating therapy. This procedure involves transfusion of the patient’s own blood, which is taken from a vein. The collected blood is then injected intramuscularly into the buttock area. The course of treatment is determined by the attending physician, but in most cases it consists of twelve to fifteen injections.

Physiotherapy

Physiotherapeutic procedures such as:
  • ultraviolet irradiation of the affected areas of the epithelium (used for local damage to areas of the skin);
  • ultraviolet irradiation of blood (used for systemic damage, as well as for deep and recurrent streptoderma).
There are the following contraindications to ultraviolet irradiation:
  • increased sensitivity of the epithelium to ultraviolet rays;
  • severe mental illness;
  • syphilis, AIDS (HIV);
  • taking medications that increase photosensitivity;

Traditional treatment

For streptoderma, folk remedies are successfully used as an addition to the main therapy.
  • Oak bark(effectively fights pathogenic microflora). To prepare the decoction, you will need three tablespoons of bark, which must be poured with two glasses (500 ml) of hot water. The prepared mixture must be placed on low heat and cooked for 20 to 30 minutes. Remove the finished decoction from the heat, let it cool and use it as a lotion two to three times a day for two days, then prepare a new decoction (use other decoctions in the same way).
  • Chamomile(has anti-inflammatory, antibacterial and soothing effects). One tablespoon of chamomile flowers should be poured into one glass (250 ml) of hot water, let it brew for 30 minutes. After the prepared infusion has cooled, it should be strained, and then soaked in clean gauze and apply a compress to the affected areas of the skin.
  • Sage(has anti-inflammatory and analgesic effects). Pour one tablespoon of sage leaves into one glass (250 ml) of hot water. The prepared mixture must be placed on low heat and cooked for ten minutes. Remove the finished broth from the heat, let cool, strain, and then use it as a lotion.
  • Series(promotes rapid healing of wounds, has an anti-inflammatory effect, and also fights bacteria that cause purulent processes). Pour two tablespoons into two glasses (500 ml) of hot water and leave to steep for an hour. After time, the finished infusion should be filtered and used as a lotion.

Prevention of streptoderma


Prevention of streptoderma consists of the following measures:
  • compliance with sanitary and hygienic standards;
  • maintaining a healthy lifestyle;
  • proper and nutritious nutrition;
  • timely treatment of all somatic diseases.



Compliance with sanitary and hygienic standards

  1. It is necessary to wash your face daily with warm water (37 - 38 degrees). As soap, it is recommended to use resorcinol, tar or sulfur.
  2. You should take water procedures (shower, bath, sauna) weekly.
  3. It is necessary to take special care of the cleanliness of your hands and the condition of your nails. Hands should be washed thoroughly before and after eating, as well as after using the toilet and contacting animals. Nails, in turn, need to be cleaned and trimmed regularly.
  4. Underwear should be changed daily. Every day it is also necessary to change socks, stockings, tights and bed linen with a towel. It is recommended to wear underwear made from natural fabrics and preferably light shades.
Leading a healthy lifestyle
  1. Playing sports.
  2. Frequently spend time outdoors.
  3. To strengthen the immune system, it is recommended to carry out hardening procedures.
Proper and nutritious nutrition
You need to eat three times a day and include as many fresh fruits and vegetables in your diet as possible. It is also recommended to eat legumes (peas, beans and others) and nuts, as these foods contain a large amount of vitamins to improve skin condition.

Timely treatment of damaged skin
If there are any microtraumas on the skin, it is necessary to immediately carry out antiseptic treatments. For disinfection, solutions such as brilliant green, hydrogen peroxide, methylene blue, etc. can be used.

Timely treatment of diseases
It is very important to promptly treat those diseases that may cause streptoderma (diabetes mellitus, varicose veins, and others).



What are the features of treatment for streptoderma in children?


Typically, treatment of streptoderma in children is carried out at home, and various antiseptic solutions that have a drying effect (diamond green, fucorcin, potassium permanganate and others) are used as medications. These medications must be applied to the affected areas of the skin two to three times a day. Also, for more severe and widespread forms of the disease, antibacterial drugs (ointments, tablets, injections) can be used.


During the treatment of streptoderma in children, the following recommendations must be followed:
  1. Contact with other children should be limited.
  2. It is necessary to strictly follow all doctor's instructions. For example, it is prohibited to interrupt treatment for streptoderma, even if the child feels much better.
  3. If a child has an increase in temperature, then in this case the baby needs bed rest. The doctor can also prescribe antipyretic drugs for the child (Paracetamol, Aspirin, Analgin, etc.).
  4. If you have streptoderma, you should not bathe your child. Hygienic procedures should be carried out by wiping healthy areas of the skin with a cotton swab dipped in warm water.
  5. It is necessary to ask the child not to scratch the affected areas of the skin to avoid spreading the infection to healthy areas of the skin. It is recommended to distract the baby with some games or coloring books.
  6. It is necessary to ensure that the child’s hands are always clean and his nails are cut short.
  7. Underwear and bed linen should be changed every day. A child's dirty clothes should be washed and ironed. Underwear should be made of natural fabric and light shades.
  8. It is recommended to wet clean and air the sick child’s room every day.
  9. It is also recommended that the baby eat dietary (exclude sweets and starchy foods) and high-calorie foods.

What does streptoderma look like in children?

Form of streptoderma Description Photo
Streptococcal impetigo Against the background of redness of the baby’s skin, conflicts (in the form of flabby blisters) are formed filled with serous exudate, up to two centimeters in diameter. Then the exudate darkens and dries, forming a yellow-brown crust. This form is characterized by rapid spread throughout the body, as well as development into a more complex disease process.
Impetigo bullous This form of the disease often manifests itself in newborns in the form of pea-sized blisters, located singly on the body. Localization is observed mainly on the baby’s hands, legs and feet.
Streptococcal infection This manifestation of streptoderma is usually localized in the corners of the child’s mouth. First, a bubble forms near the lips, which soon bursts. Then, in its place, cracks appear, covered with a purulent-bloody crust, which is why the child feels pain and discomfort when opening the mouth.
Streptococcal ecthyma With this form, the deep layer of skin is damaged. The child develops an ulcer containing purulent-bloody exudate. Then the affected area becomes covered with dense crusts. Ecthymas most often form on the legs, buttocks, upper limbs, etc. Often, after treatment of this disease, scars form on the child’s body.
Tourniol This type of streptoderma affects the nail folds. Most often observed in children who are accustomed to biting their nails.
Streptococcal diaper rash On the surface of the skin folds in children, small conflicts form, which, after opening, cover the baby’s skin with bright crimson spots.
Localization of streptococcal diaper rash is most often observed in the groin area, in the folds of the abdomen, in the armpit, etc.

Is it possible to use ointments to treat streptoderma?


For superficial streptoderma, it is recommended to apply ointments containing an antibiotic topically to the affected areas of the skin. However, you should not choose this type of medication on your own, as this can only aggravate the course of the disease. Most importantly, before starting treatment, it is necessary to carry out a bacteriological examination of the material taken from the affected area of ​​the skin. This study allows you to identify the pathological pathogen, as well as determine its sensitivity to the antibiotic. Then, based on the test results, the attending physician will select the optimal drug for the treatment of streptoderma.


Name of the drug Effect of the drug Application Contraindications
Erythromycin
has anti-inflammatory and antibacterial effects;
reduces sebum secretion;
apply to damaged areas of skin two to three times a day for seven to ten days
for severe liver diseases;
Hyoxyzone has anti-inflammatory, antibacterial and antiallergic effects;
eliminates skin itching and burning;
Apply a thin layer of ointment to pathological areas one to three times a day (the duration of treatment is determined by the attending physician) intolerance to the components of the drug;
fungal diseases;
viral diseases;
Baneocin effectively inhibits the vital activity of microorganisms due to the content of two antibiotics in the preparation apply to damaged areas of skin two to four times a day for seven days hypersensitivity to the components of the drug;
extensive skin lesions;
severe kidney disease;
Levomekol has an antibacterial and anti-inflammatory effect;
improves tissue regeneration;
reduces swelling;
apply the ointment to pathological areas of the skin, placing a sterile gauze pad on top (the procedure should be repeated daily) for ten days hypersensitivity to the components of the drug
Bactroban has a bacteriostatic effect (prevents the proliferation of microorganisms) apply the ointment two to three times a day to the affected areas of the skin for ten days severe renal failure;
individual intolerance to the components of the drug.

Today we will talk about childhood streptoderma. Children catch this disease more easily, since their immunity is still quite weak.

How can we recognize this disease and not confuse it with another type of eczema?

Nothing much happens in the first week. The child's health is normal. The disease streptoderma begins with small pink spots. Subsequently, they become rough, and if left untreated, turn into ulcers. They grow quickly. Their size reaches two centimeters. Spots most often appear on the face, but spots can also appear on the buttocks or limbs.

Bathing a child is strictly prohibited. Water allows the spots to grow and transfers them to other parts of the body. Since this disease is infectious, the sick child should be quarantined.

Ointment for streptoderma in children

Apply a bandage with antibacterial ointment to the area affected by streptoderma, for example:

  • Hyoxyzone,
  • Fukortsin,
  • Baneocin,
  • Levomekol.

Put the bandage on overnight. In the morning, remove it, and lubricate the area affected by the disease with brilliant green or leave this part of the skin open.

Ointments containing a hormonal drug will give a good effect. For example:

  1. Celestoderm,
  2. Triderm.

But before using them, you should consult a doctor, since their use is dangerous for the body as a whole. You should not wear the bandage all the time. This can lead to heating of the area and there is a possibility of getting the opposite result.

Spots on the face with streptoderma can be lubricated with lapis (silver nitrate 1-2%).

Treatment with tetracycline ointment

Treatment can also be carried out with tetracycline ointment. Mix a strip of ointment (5 cm or 6 cm) with streptocide powder (crush 0.5 tablets of streptocide). Apply the resulting mixture to the affected area 2 or 3 times a day. Each time, re-dilute the ointment and the application portion should be fresh.

With multiple lesions of skin areas, the temperature may rise and the lymph nodes may enlarge. In this case, treating children with streptoderma ointment will not help. The solution is hospitalization to take antibiotics intramuscularly or intravenously.

There are a lot of names of ointments for streptoderma that can quickly and effectively cope with the disease. The dermatologist must determine which treatment should be given, taking into account the severity of the disease, the general condition of the body and other factors.

Antiseptic ointments

Zinc ointment

The ointment effectively fights streptococci that are sensitive to zinc. The product softens and moisturizes the skin, and the fatty base ensures the long-lasting effect of the ointment. It should be applied in a thin layer to the affected areas up to 6 times during the day. The effect will be stronger if you use zinc ointment with chloramphenicol.

Zinc ointment does not have a general effect on the body, so it is suitable for almost everyone: increased individual susceptibility to the drug is rare.

Salicylic ointment

The drug effectively relieves inflammation and has a disinfecting effect on lesions. The ointment is applied 2-3 times a day. The duration of treatment depends on the healing time of the skin. Salicylic ointment is used until the epidermis is completely regenerated, which can take from several days to three weeks.

The maximum period of regular use of the ointment is 28 days. For a single use, the permissible amount of ointment should not exceed two grams, since salicylic acid enters the blood and can cause severe allergies.

Salicylic-zinc ointment

The ointment quickly relieves redness, eliminates inflammation and promotes skin regeneration. Salicylic-zinc paste is applied 1-2 times a day to the affected skin, which must first be cleaned and treated with an antiseptic, for example, hydrogen peroxide. The product should not be used on open wounds, or in areas where the skin is constantly wet (in the groin, under the arms).

The pharmacokinetic features of the ointment allow the active ingredients to cross the placental barrier, therefore the use of ointment for streptoderma during pregnancy is contraindicated. The ointment is also used with caution for the treatment of streptoderma in children: you must first consult with a pediatrician.

Streptocide ointment

The drug has a pronounced antimicrobial effect and suppresses the development of infections caused by streptococci. The ointment is applied in a thin layer to the affected area. The frequency and duration of use depends on the severity of the lesion and the effect achieved. When treating with this ointment, it is recommended to drink plenty of fluids.

The ointment inhibits the growth and development of microorganisms by affecting their intracellular metabolism. The ointment should not be used during pregnancy and lactation. It is also contraindicated for children and patients with renal impairment. Some danger of prolonged use of the ointment is that some bacteria may become resistant to the active ingredients of the drug.

Norsulfazole ointment

This is a sulfonamide drug with chemotherapeutic activity. The action of the ointment is aimed at disrupting the growth factors of microorganisms. This ointment is less often used in the treatment of streptoderma, since most clinically significant bacteria have become resistant to its active ingredients. When using the ointment, it is necessary to take into account the fact that some drugs, for example, novocaine, can neutralize the effect of the drug. Norsulfazole ointment is not used for diseases of the kidneys, blood, or thyroid dysfunction. It is contraindicated during pregnancy and lactation, as well as for children under 12 years of age.

Sulfuric ointment

The ointment removes dead skin cells, activates blood circulation and metabolism in skin cells due to the fact that sulfur softens the upper layer of the epidermis. In the treatment of streptoderma, a more concentrated 6% sulfur ointment is used. Treatment lasts up to 7 days. The drug is applied in the evening to previously cleansed affected skin, rubbed thoroughly for 10 minutes and not washed off during the day.

Vishnevsky ointment and streptoderma

There are probably few people who do not know about this remedy. Vishnevsky ointment is still “in service” with doctors against various infections. The ointment very quickly heals soft tissues during inflammation.

It is safe and has virtually no contraindications for use when compared with modern analogues: xeroform powder is an excellent antiseptic that neutralizes many types of microbes; birch tar activates blood circulation, providing tissue nutrition; castor oil increases the penetration ability of active substances deep into the epidermis. To treat streptoderma, the drug is applied twice a day under a bandage, which is then fixed.

Oxolinic ointment

The ointment has antimicrobial and antiviral effects. To treat diseases of the epidermis, 3% ointment is used. It is applied in a thin layer to clean skin up to 3 times a day. Course duration is from 14 to 60 days. The ointment is easily absorbed, the active ingredient oxolin is absorbed quite quickly, penetrating in small concentrations into the blood, liver, kidney and spleen tissues. Side effects from prolonged treatment with ointment may appear in the form of a short-term burning sensation at the time of application; superficial dermatitis; the skin at the treatment site acquires a bluish tint, which, however, is easy to wash off. There are no known cases of overdose, but, presumably, the severity of these symptoms will become more intense.

All side effects disappear after stopping treatment. There are practically no contraindications to the use of the ointment - only in cases of sensitivity to its components. During pregnancy and lactation, as well as for the treatment of children, the ointment is not recommended for use, since there is no data on the consequences of use. Subject to appropriate storage conditions, the shelf life of the ointment is 2 years.

There are few restrictions and contraindications for the use of antiseptic ointments: most of them can be used even during pregnancy and lactation, as well as for the treatment of streptoderma in children, which cannot be said about ointments with antibiotics.

Antibiotic ointments for streptoderma

In the later stages of the disease, when conventional antiseptics are powerless in the fight against the causative agent of streptoderma, and the infection continues to spread, antibiotic ointments are used.

Ointment for streptoderma in children containing antibiotics is prescribed only as a last resort. But ointments for external use, unlike other forms of antibiotics, cause the least harm to the child’s health and there is no need for additional restorative therapy after treatment.

Hyoxysone ointment

Gioksizon is an ointment with a combined action. It eliminates skin inflammation, especially if it is associated with allergies, which are complicated by a bacterial infection. Its pharmacodynamic properties lie in the combined action of two components: the antibiotic oxytetracycline, which fights bacteria, and hydrocortisone, which relieves inflammation, eliminates allergic skin manifestations and itching. To combat streptoderma, hyogsizone is applied in an amount of 0.5-1 g in a thin layer to skin lesions 1 to 3 times a day.

The duration of therapy is determined individually. Contraindications: susceptibility to the components of the drug, skin tuberculosis, skin tumors, viral skin diseases. The drug should also not be used during pregnancy and lactation.

Bactroban

An ointment based on mupirocin, a broad-spectrum antibiotic. Bactroban stops the growth and spread of pathogens, and with increasing doses it has a direct bactericidal effect. The ointment is prescribed as a single drug to combat streptoderma, and can be used as a component of a therapeutic complex.

It is better to apply the ointment using a cotton pad under the bandage. Possible side effects are urticaria, erythema, minor allergies.

Erythromycin ointment

Refers to macrolides that can quickly relieve streptoderma, but they are prescribed in extreme cases due to the negative impact on the body. Erythromycin is an effective ointment for streptoderma; it eliminates inflammation, regulates the functioning of the sebaceous glands and has an antibacterial effect. It should be applied to skin lesions 2-3 times a day.

The duration of treatment is from seven to ten days. The ointment is contraindicated in cases of liver dysfunction, as well as in case of hypersensitivity to macrolides.

Tetracycline ointment

The drug has exceptional antiseptic properties, thanks to which it will help to quickly cope with many causative agents of skin infections, and in case of cuts or burns, the ointment will prevent the possibility of infection in the wound. The drug contains an antibiotic from the tetracycline series. Tetracycline hydrochloride affects the synthesis of bacterial protein structures. The method of administration and dose depend on the location of the lesion and the severity of the disease. Usually, for streptoderma, the ointment is applied to the affected skin twice a day.

Can be used as a compress. The duration of treatment can range from several days to several weeks. There are features of interaction with other drugs: if the patient simultaneously uses drugs with glucocorticosteroids, the effect of using these hormone-containing drugs is enhanced.

Syntomycin ointment

The active substance of the drug is a broad-spectrum antibiotic. Pharmacodynamics is based on the effect on the formation of pathogen proteins. Chloramphenicol penetrates the membrane of bacterial cells, affecting the movement of amino acids, as a result of which the process of formation of peptide chains and protein formation is disrupted. The ointment effectively fights strains that are resistant to penicillin and streptomycin. Bacterial resistance to chloramphenicol develops slowly. The ointment is applied to the affected skin under a bandage. Additionally, you can use parchment or compress paper. The dressing is changed every other day. The active ingredient of the ointment overcomes the placental barrier, but research data have not found a negative effect on the fetus when the ointment is used externally.

You should be aware that as a result of the side effects of ointments for streptoderma with antibiotics, skin sensitivity may increase, which, in turn, will cause hypersensitivity reactions with further use of these drugs in the form of ointments or other dosage forms.

Since streptoderma is contagious, measures must be taken during the treatment period to prevent the spread of infection. It is necessary for both the patient and everyone at home to adhere to the rules of hygiene in order to prevent repeated self-infection. For a quick full recovery, this is as important as using ointments for streptoderma or drug therapy.

Streptoderma ointment is the safest and easiest to use medication used to treat this disease. Preparations in the form of creams and ointments quickly and effectively act on infected areas and do not allow pathogenic bacteria to spread to healthy areas of the skin.

Streptoderma is an infectious disease and is characterized by the occurrence of allergic rashes on the skin. The cause of the disease is streptococci, which are part of the microflora of every person, which, in the presence of unfavorable factors, are activated in the tissues of the epidermis, causing the formation of a rash. The disease quickly spreads to healthy areas of the skin, so treatment should begin immediately. If the lesions are minor, applying antiseptics and anti-inflammatory ointments to the problem areas is sufficient.

Streptoderma begins with the formation of red plaques on the skin, flaking along the edges, which gradually grow. Then a putrefactive process develops. The blisters with purulent contents burst, dry out, and in their place dry crusts form.

The disease is accompanied by burning and itching, so the patient should refrain from scratching the affected area, as this can lead to its enlargement and bleeding, which will significantly complicate treatment. In addition, deep erosions on the skin can leave unaesthetic scars, which are very difficult to get rid of.

Single or minor rashes that occur in a person with normal immunity are treated with local therapy. For this purpose, anti-inflammatory drugs, antiseptics and antibiotics are used in the form of cream or ointment. For chronic forms of the disease, an integrated approach is recommended, including the use of immunostimulants, vitamin complexes and physiotherapeutic procedures.

If skin rashes appear frequently or treatment lasts a very long time, the doctor may recommend a vaccination that helps suppress the activity of streptococcus in the body. For particularly complex and extensive skin lesions, treatment is carried out in the clinic. Using sterile instruments, each inflamed vesicle is carefully opened and treated with an antiseptic.

The disease can be cured only if hygiene procedures and proper skin care are followed. During treatment, it is not recommended to take a shower or bath, and to treat wounds it is better to use disinfectants that will help reduce the inflammatory process and dry the skin. The simplest and most affordable way is to treat the area with fucorcin or furatsilin. This procedure is carried out twice a day, after which anti-inflammatory and antibacterial agents can be applied to the affected area. The skin around the area can be wiped with alcohol-based disinfectant solutions. Weeping areas can be treated with zindol, a zinc-based drug that perfectly destroys pathogenic flora, including streptococcal bacteria.

Types of drugs

The main treatment for streptoderma is the external use of drugs made from components to which streptococcus is very sensitive:

  • Zinc ointment. An effective remedy in the fight against streptococcus. It has a fatty base, thanks to which it softens and moisturizes the skin and gives a longer healing effect. The product should be smeared onto clean, treated skin several times a day. The duration of treatment is determined by the doctor individually.
  • Tetracycline ointment. Antibacterial agent, has a wide spectrum of action, effectively eliminates pathogenic flora. Apply to the affected area 2 times a day for 2 weeks.
  • Sulfuric ointment. A sulfur-based product with a strong antiseptic effect. Apply to cleansed skin, preferably at night. The duration of treatment is 7-10 days.
  • Nystatin ointment. An antibiotic with antifungal and disinfectant effects. Quickly relieves itching and inflammation. Do not use for liver diseases, pancreatitis and pregnancy.
  • Levomekol. A combined remedy consisting of an antibiotic and an immunostimulant. Effectively relieves inflammation, has an antimicrobial and regenerative effect, and penetrates well into the affected tissues.
  • Baneocin. An effective combination ointment, which simultaneously contains 2 antibiotics. Also available in powder form. The ointment is applied to the affected area 2-3 times a day. The powder is more convenient to use for the treatment of skin diseases in children. It has a number of contraindications.
  • Hyoxyzone. Combined antibacterial agent. Effectively relieves inflammation and itching. Apply a thin layer to the affected area 2-3 times a day.
  • Fucidin. The ointment has antibacterial properties and effectively relieves inflammation and itching. The main component of the drug is fusidic acid, which is a strong natural antibiotic. Apply a thin layer 3-4 times a day for 7-14 days. Not recommended for children under 2 years of age.
  • Tsindol. Zinc-based ointment effectively fights streptococcus and is an excellent antiseptic. It has sediment, so the bottle must be shaken before use. Tsindol is a good treatment for weeping lesions, as the solution dries wounds well and promotes faster healing.
  • Miramistin. The ointment has antimicrobial properties, promotes healing and regeneration of the skin, and effectively eliminates purulent exudate. Apply 1-2 times a day. Treatment is long, approximately 5-6 weeks and depends on the condition of the wounds. Apart from individual intolerance to the components, there are no contraindications.
  • Argosulfan. A combined antibacterial drug based on silver sulfathiazole has good healing properties. Available in the form of a cream. Argosulfan is applied in a thick layer to the affected area 1-3 times a day. The duration of treatment is about 2 months.
  • Pimafukort. A combined antibacterial and antifungal agent that effectively relieves inflammation. Dries wounds well and is quickly absorbed. It is a broad-spectrum antibiotic. Apply to the damaged area 4 times a day for 2 weeks.
  • Sofradex. Combined ointment based on two antibiotics. Effectively destroys pathogenic microflora, relieves inflammation and itching. Sofradex is applied to wounds twice a day, the duration of treatment is no more than 7 days. Not recommended for use during pregnancy.
  • Akriderm. A hormonal agent with a strong anti-inflammatory effect. Effectively relieves allergic manifestations, redness, swelling and itching. The cream should be applied in a thin layer and lightly rubbed into the skin 2 to 6 times a day. The duration of treatment is 4 weeks.
  • Fukortsin. The safest and most affordable antiseptic. Effectively dries and disinfects wet areas, reduces the process of decay. Fukortsin can be used to wipe the wounds of adults and children; it is completely safe and does not cause pain.

When choosing an ointment for streptoderma, remember that self-medication can be harmful to health. Even if the drug was recommended to you by a doctor, take time to study the instructions and reviews of other patients about this drug.

To clean and dry wounds, use safe and well-known products, such as fucorcin or a solution of ordinary brilliant green. For minor rashes, you can use natural-based medications, for example, Rescuer (balm).

Treatment of the disease in children

Children are more likely than adults to become infected with streptoderma. This is facilitated by close contact in children's groups, joint games and shared toys. Treatment of the disease is carried out at home under the strict supervision of a doctor and consists of:

  • in local therapy with the use of ointments, creams and balms with antibacterial and anti-inflammatory effects;
  • in regular treatment of lesions with antiseptic solutions: fucorcin, brilliant green;
  • to exclude contact of affected areas with water and chemicals;
  • in adhering to the regime and ensuring adequate nutrition.

Good results in treatment are achieved with ointments with antibiotics, which, as a rule, are part of the drug. Children should use hormonal products very carefully and only as prescribed by a doctor, as they have side effects.

The treatment period for streptoderma in children takes on average 7-10 days. If after this time the condition has not improved, you should immediately consult a doctor. This situation requires antibiotic treatment and sometimes hospitalization.

Treatment of the disease in adults

In adults, the disease has a milder course than in children. To treat streptoderma in adults, drugs are used to prevent further development and spread of infection to healthy areas of the skin:

  • antibacterial agents - used no more than 2 times a day, applied directly to the wound or to the bandage;
  • antiseptic agents (fucorcin, salicylic or boric acid) - dry wet areas well; to eliminate purulent exudate, wounds can be lubricated with zindol or other products that contain zinc;
  • disinfectants - used to heal erosions (rivanol, erythromycin ointment).

Typically, local therapy is sufficient to completely cure an adult of the disease. In case of complex streptoderma in adults, oral antibiotics may be prescribed.

Preventive measures

When one person gets streptoderma, there is a very high probability of infecting everyone who is in direct contact with the source of infection. To avoid having to treat the whole family, it is necessary to completely eliminate contact with the patient. If this is not possible, it is recommended to allocate individual household items and dishes for him.

Prevention of streptoderma in children should be aimed at maintaining the correct regimen, balanced nutrition and hygiene. A healthy lifestyle is the key to a child’s good immunity, which helps avoid many diseases.

Usual preventive measures include regular changes of bed linen, clothing, and hygiene procedures.

If abrasions or scratches appear, they must be treated with antiseptics, for example, fucorcin.

Streptoderma or streptococcal pyoderma is an infectious skin disease. The disease develops as a result of the entry of anaerobic bacteria into the body - streptococci, which cause sore throat, meningitis, pneumonia, bronchitis, scarlet fever. This type of bacteria is very insidious and is distinguished by its tenacity. When bacteria come into contact with the skin of a healthy person with a strong immune system, they do no harm, but as soon as the immune system is compromised even slightly, they begin to multiply and act actively, causing inflammation.

The optimal conditions for the growth of bacteria are dirty skin. They can enter the body through damaged skin and small wounds. An infectious disease is contagious and is transmitted by contact from a sick person to a healthy person. A special ointment for streptoderma will help fight the infection; the doctor will tell you which one to buy after examining the patient, but we will look at the most common and effective ones.

Features of the disease

In order not to mistakenly treat another infectious skin disease, it is important to know how streptoderma manifests itself. Manifestations of pathology are most pronounced on the skin, which, when affected by bacteria, becomes dry, cracks and itching appear. Red rashes of varying sizes are noticeable on the patient's body, especially on the face, back and buttocks. The spots have a pinkish-pale tint, up to 5 cm in diameter. As the infection progresses, bubbles filled with a cloudy liquid appear at the site of the spots. After the bubbles open, crusts form. If antibacterial ointments are not used as treatment, bleeding round ulcers will appear in their place.

In adults and children suffering from streptoderma, bacteria most often activate their actions:

  • on the face, the frontal part especially suffers;
  • behind the ears;
  • on the feet and hands;
  • on the fingers and toes, interdigital space;
  • in the groin area;
  • between the buttocks.

Despite the spread of infection throughout the body, the favorite breeding ground for bacteria is the face.

The infection causes severe itching; when scratching the affected areas, the child spreads the infection to other parts of the body. In the same way, the infection gets to the arms, legs, back and stomach while bathing the baby.

Treatment methods in children

Many parents ask what to apply, how to choose the right product so that the infection goes away as quickly as possible. Let's look at the main medications that have a positive effect on the disease and are recommended for the treatment of children.

Attention! At the first signs of an infectious disease in children, the first thing to do is consult a doctor. He can tell for sure and prescribe treatment.

After examining the child and listening to his complaints, the doctor will tell you which ointment is best for treating the skin in a particular case. He will also tell you how many times to smear the affected area for a quicker recovery, although such information is available in each instruction for using the ointment.

Streptoderma ointment for children is the best remedy that has a quick effect. Today, pharmaceutical manufacturers offer a wide range of ointments and balms for children and adults against infectious skin diseases. They have a detrimental effect on the life of bacteria, accelerate the healing process of wounds, and prevent the spread of infection to healthy areas of the body.

Features of ointments

Many parents, whose children, by chance, contracted a contagious infection, are interested in whether it is possible to smear streptoderma with brilliant green? Doctors answer yes.

Zelenka, potassium permanganate, fucoricin are means for local treatment of infection; they have disinfecting and drying properties. These medications are used to treat the affected skin twice a day.

Zinc ointment

Zinc ointment for streptoderma in children is an effective remedy with softening and moisturizing properties. Thanks to its zinc content, the ointment successfully fights infection. Doctors recommend using chloramphenicol at the same time to enhance the effect of the ointment. The product is applied to damaged areas of the skin in a thin layer, about 6 times a day. It has no contraindications, therefore the ointment is recommended for use by children and adults.

Salicylic

Salicylic ointment has anti-inflammatory and disinfectant properties. Apply up to 3 times a day. Depending on how many days the wound healing lasts, the amount of time the product is used. The ointment must be used until the skin is completely healed, sometimes the duration of treatment is about a month. A single use of the product should not exceed two grams, since the drug contains salicylic acid, which, if released into the blood, can cause an allergic reaction.

Streptocide

Streptocidal ointment has antimicrobial properties and has a detrimental effect on infections caused by streptococci. The duration of use of the drug depends on the severity of the disease. While using the ointment, doctors recommend drinking a lot of water. The product has a negative effect on the development and reproduction of bacteria. The drug is contraindicated for pregnant women and breastfeeding mothers, children, patients suffering from impaired renal function.


Vishnevsky ointment

Vishnevsky ointment has a rapid wound healing effect. It is used to heal tissues that have suffered from inflammatory processes. The product contains components that are antiseptics that neutralize the action of microbes and restore blood circulation. For treatment purposes, the ointment is applied twice a day to the affected areas of the skin, a bandage is applied on top and fixed. There are practically no contraindications for use.

Erythromycin

Erythromycin ointment belongs to the group of macrolide drugs. It is prescribed in case of negative effects of bacteria on the body. The product has an anti-inflammatory, antibacterial effect, and is involved in regulating the function of the sebaceous glands. Treatment with the product is carried out for about 10 days, applied to the affected skin 2-3 times during the day. Contraindicated in patients suffering from liver dysfunction or hypersensitivity to one of its components.

Tetracycline

Tetracycline ointment effectively fights many infections that affect the skin; for burns and cuts, it is used to prevent bacterial infection. Has an antiseptic effect. The method of use and permissible dosage are indicated in the instructions for use of the ointment. The drug can be used as a compress. The duration of treatment depends on the severity of the disease. To enhance the therapeutic effect of this drug, it is recommended to simultaneously use drugs containing glucocorticosteroids.


Synthomycin

Syntomycin ointment is an antibiotic that has a wide spectrum of action. The product must be applied to the affected area of ​​the skin, apply a bandage, which is changed every other day. Use with caution during pregnancy.

Levomekol

Levomekol ointment for streptoderma has a complex effect. Its use increases the protective functions of the immune system, accelerates the healing process of wounds, and relieves inflammation. The product should be applied to a clean napkin, applied to the affected area and secured with a bandage. Treatment is carried out until the patient recovers completely.


Antibiotic ointment is prescribed when treatment with conventional antiseptics is not effective in combating pathogens of infectious diseases. For children, such drugs are prescribed in exceptional cases.

To ensure a quick recovery and prevent the spread of infection to other family members, doctors recommend isolating a sick child. Give him a separate room, dishes, and bed linen. You should not bathe your child during the treatment period, because water is the optimal environment for the spread and reproduction of streptococci on the skin.

Streptoderma is an infectious disease that requires immediate treatment and isolation of the infected person from others in order to prevent the development of an epidemic.

Streptoderma is a skin disease that develops under the influence of streptococci (group A) and their metabolic products. If you do not start treatment on time, the result of such a negligent attitude towards your health can be complications in the form of damage to internal organs and the immune system.

Streptoderma appears 7-10 days after the onset of infection. The first sign of the disease is pinkish spots on the skin, which later turn into ulcers. The skin begins to itch and peel. Formations are clearly visible to people, which certainly affects communication with others.

Antiseptic ointments

Therefore, only a dermatologist can guess which of them will bring a positive effect. The doctor will conduct the necessary research and prescribe effective treatment depending on the severity of the disease and the individual characteristics of the patient.

Zinc ointment

The product is intended to combat pathogenic microorganisms. The main active ingredient is zinc, which effectively fights bacteria. In addition, the drug does not dry the skin, but, on the contrary, moisturizes and nourishes it. The fatty base ensures a long-lasting effect of the medicine.

Apply exclusively to the affected area in a thin layer 4 to 6 times a day. No side effects are observed after using the product. The drug has virtually no contraindications, except for individual intolerance to the substances included in its composition.

Salicylic ointment

The product is intended to quickly eliminate the inflammatory process from the lesion. Has a disinfecting effect. Apply to the affected area 2-3 times a day. The duration of therapy will depend on the severity of streptoderma (on average 2-3 weeks).

Do not use more than 2 grams for a single use. means, since the main active ingredient can penetrate into the blood, which will contribute to the development of severe allergies.

Salicylic-zinc ointment

The drug has the following actions:

  • anti-inflammatory;
  • disinfectant;
  • regenerating.

Apply to skin 2 times a day. Before use, it is recommended to lubricate the affected area with an antiseptic. The product is not used in areas where there are open wounds. The drug is contraindicated for pregnant women and children.

Streptocide ointment

The main component actively fights microbes and also suppresses the reproduction and growth of streptococci. In this regard, the infection is quickly suppressed, and the protective functions of the skin are restored. The duration of treatment with the drug will depend on the degree of progression of streptoderma.

The product should not be used during the lactation period and by pregnant women, especially in the first trimester. In addition, it is prohibited for people with kidney disease to be treated with the drug.

Norfulfazole ointment

Quickly inhibits the growth and reproduction of streptococci. It is worth noting that this remedy has recently been prescribed less and less frequently in the treatment of streptoderma, since bacteria quickly develop resistance to its main active component.

  • pregnant women;
  • during lactation;
  • for liver and kidney diseases;
  • children under 12 years old.

It is prescribed with caution to people with diseases of the endocrine system. Apply 2 times a day.

Sulfuric ointment

Vishnevsky ointment

The product quickly eliminates inflammation on the skin. Has healing, antibacterial effects. Vishnevsky ointment has no contraindications. Used to treat streptoderma in both children and adults.

Apply 2 times a day to affected skin. A bandage is applied on top. Treatment lasts until the epidermis is completely restored.

Oxolinic ointment

The drug has antiviral and antimicrobial effects. For streptoderma, 3% ointment is prescribed. Apply a thin layer to the skin. The duration of therapy ranges from 1 week to 1 month.

The product has virtually no side effects. Only in rare cases, with prolonged use, can you notice unwanted reactions on the skin in the form of redness and hives.

It is worth saying that all side effects from the use of local ointments disappear immediately after stopping treatment.

Antibiotic ointments for streptoderma

It is recommended to use antibiotic-containing products only if local ointments have not brought a positive effect and the skin infection continues to spread.

Under no circumstances should you purchase medications without first consulting your doctor.

Hyoxyzone

The main active ingredients are oxytetracycline hydrochloride and hydrocortisone. Hyoxysone fights skin inflammation caused by bacterial infections. The main active ingredients kill pathogens and eliminate allergic manifestations in the form of itching and burning.

To treat streptoderma, it is necessary to apply 0.5-1 g exclusively to the affected area 1-3 times a day. There is no need to rub the product.

It is worth noting that Gioxyzon effectively fights even the most complex forms of streptoderma.

Bactroban

The drug contains an extended-spectrum antibiotic – mupirocin. The main active component stops the growth and reproduction of infectious agents. The main indication of the drug is the fight against severe forms of streptoderma. Apply the product to a cotton pad and apply it to the affected area once a day. Secure with gauze.

Erythromycin ointment

It is prescribed for the disease quite rarely, due to the harmful effects on the body. Has antimicrobial and anti-inflammatory effects. In addition, the auxiliary components included in the drug help restore the functioning of the sebaceous glands.

Apply 1-2 times a day. Duration of therapy is 7-10 days. Do not use the product if you have liver disease or individual intolerance to macrolides.

Tetracycline ointment

The drug has an antiseptic effect on the skin. Thanks to this effect of using the product, the growth and reproduction of the pathogen stops, the infection stops spreading, and the protective functions of the skin are quickly restored.

Apply twice a day, or as a compress. The duration of treatment depends on the severity of streptoderma.

Syntomycin ointment

The main active ingredient of the ointment affects the protein of the pathogen, as a result of which the synthesis is disrupted. As a result, the pathogen dies. Syntomycin ointment effectively fights those strains that are resistant to the action of streptomycin and penicillin.

The product should be applied under the bandage. It is recommended to apply parchment or foil to the compress. The bandage should be changed once every 2 days. The ointment can be used during pregnancy.

It is worth saying that the use of ointments with antibiotics may be accompanied by unwanted reactions in the form of allergies, itching, burning, and urticaria. Side effects disappear on their own after stopping treatment.

Ointments for streptoderma are much more effective than tablets. Indeed, in the first case, positive dynamics are observed faster. In addition, the use of these drugs in most cases is not accompanied by unwanted reactions, and there are quite few contraindications to their use. However, you should not purchase medications for streptoderma without first consulting your doctor.

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